BEUDAMED
    FDA Adverse Event No answer provided Summary report: N

    MONOJECT

    MDR report key: 13203635 · Received January 10, 2022

    Report

    Report Number
    13203635
    Event Type
    No answer provided
    Date Received
    January 10, 2022
    Date of Event
    December 16, 2021
    Report Date
    December 27, 2021
    Manufacturer
    CARDINAL HEALTH, INC.
    Product Code
    FMF
    Report Source
    User Facility report
    Reporter Location
    CT
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    ONE OF OUR IV ROOM TECHNICIANS FOUND THIS IV SYRINGE WITH BROWN DOTS ON ITS LAST NIGHT WHEN COMPOUNDING IN THE IV ROOM. I DO NOT HAVE THE WRAPPER FOR THE SYRINGE SO NO INFORMATION ABOUT LOT NUMBER/EXPIRATION DATE. IT IS A 60ML, MONOJECT SYRINGE. THE PHARMACIST WHO WAS IN COMMUNICATION WITH ME NOTED THAT IT LOOKS LIKE A STAIN. SHE TRIED TO SCRATCH IT OFF, SHE SAID IT¿S NOT LIQUID/STICKY. SHE ALSO NOTED IT¿S NOT ANY TYPE OF SUBSTANCE, MORE OF A STAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2517331 MONOJECT SYRINGE, PISTON FMF CARDINAL HEALTH, INC. 1186000777

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown